7.General description of the form to record nursing actions (FRAN©) Retour Page Principale Dernière page Page Suivante

The FRAN© is divided into two sections.

The FRAN© first section is used to identify the client, to describe his bio-psycho-social profile and to specify some therapies and treatments the client receives.

It is divided into eighteen (18) blocs.

  1. Identification

  2. Rehabilitation therapy (services received)

  3. Nursing rehabilitation (Services received)

  4. Specific treatments received

  5. Medical visits received

  6. Diagnosis/Health conditions

  7. Mobility handicap

  8. Determining factor(s) for reduction or loss of mobility

  9. Decrease or loss of the ability to use one or more limbs

  10. Mechanical devices used

  11. Physical independence handicap

  12. Occupation handicap

  13. Protections used

  14. Outside contacts

  15. Social integration handicap

  16. Psychological and sensorial functions

  17. Specific behaviour and moods problems

  18. Orientation (interactions with the environment) handicap

The description of each of the blocs is given in PLAISIR© reference manual.

The FRAN© second section consists of a structured list of nursing interventions (185), grouped according to basic needs :

  • feeding and hydration

  • elimination

  • hygiene  

  • mobilization

according to relational and educative needs :

  • communication

and according to needs specific to institutionalized clients:

  • respiration  

  • medication  

  • intravenous therapy  

  • treatments  

  • diagnostic procedures.

In PLAISIR© reference manual, each intervention is presented in the following format:

  1. Purpose:   in terms of the outcomes of the intervention.  

  2. Description:   list of the activities included in the intervention.

This list is however incomplete as certain support activities are not listed in the description, to avoid needless repetitions.  These activities have nonetheless been considered in the determination of the "time" required to perform the intervention.  These acts are among the following:

  • consulting the care plan, medical orders;  

  • washing hands;  

  • preparing and disposing of supplies;  

  • identifying the client;

  • giving general information and guidelines relative to nursing actions;  

  • isolating the client;  

  • positioning and making the client comfortable during and following an intervention.

  1. Instructions: they describes the different parameters of the interventions to register in the form (FRAN©). These parameters allows for building specific nursing actions (around 1000) from the generic 185 nursing interventions.  

  2. Levels of assistance: examples for each of the levels of assistance that may be required by the client.